ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Comparable mid-term revision rates of primary cemented and cementless total knee arthroplasties in 201,211 cases in the Dutch Arthroplasty Register (2007-2017).
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Long-term Performance and Durability of Biomaterials and Implant Designs in Total Joint Arthroplasty and Spinal Fusion.Journal of orthopaedics and sports medicine · 2026Article
- No difference in 5-year survivorship between cemented versus cementless total knee arthroplasty in a cohort of 5266 patients using a deep-dish mobile bearing implant.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Robotic Assistance Is Not Associated With Decreased Early Revisions in Cementless TKA: An Analysis of the American Joint Replacement Registry.Clinical orthopaedics and related research · 2025Article
- What Is the Survivorship of TKA With a Twin-peg or Spikes-and-keel Cementless Implant Compared With Cemented? A Registry-based Cohort Study.Clinical orthopaedics and related research · 2025Article
- Anxiety and depression prior to total knee arthroplasty are associated with worse pain and subjective function: A prospective comparative study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Cementless fixation in total knee arthroplasty: current evidence and future perspective.Archives of orthopaedic and trauma surgery · 2024Review
- New Horizons of Cementless Total Knee Arthroplasty.Journal of clinical medicine · 2023Review
- No component loosening of a cementless deep dish rotating platform knee at a 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Is TKA femoral implant stability improved by pressure applied cement? a comparison of 2 cementing techniques.BMC musculoskeletal disorders · 2023Article
- Influence of surface characteristics of implant materials on MRSA biofilm formation and effects of antimicrobial treatment.Frontiers in microbiology · 2023Article
- Multiacquisition Variable-Resonance Image Combination Magnetic Resonance Imaging to Study Detailed Bone Apposition and Fixation of Cementless Knee System Compared to Cemented Total Knee Replacements.Arthroplasty today · 2022Article
- The mid-term survival of cemented, uncemented, and hybrid fixation of the ACS mobile bearing total knee arthroplasty.Indian journal of orthopaedics · 2022Article
- [Future implications of navigation in total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2022Review
- No effect of fixation type on early and late mortality after total knee arthroplasty: a Dutch arthroplasty register study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLong-term failure of total knee arthroplasty (TKA) is mostly due to loosening of the prosthesis. In this study, the short- and mid-term revision rates of cemented vs cementless TKAs were investigated. Comparable short- and mid-term survival rates of both fixation methods were expected.
methodsData on all cemented and cementless TKAs performed between 2007 and 2017 were retrieved from the Dutch Arthroplasty Register. The cumulative crude incidence of revision of cemented and cementless TKA was calculated. Death was considered a competing risk. Revision rates were compared using multivariable Cox proportional hazard regression analysis. The associations between fixation method and type of revision or reason for revision were tested using logistic regression analyses.
resultsIn total, 190,651 (94.8%) cemented and 10,560 (5.3%) cementless TKAs were evaluated. Both groups had comparable case characteristics. Cemented TKAs were inserted more often in cases with previous knee surgery compared to cementless TKAs (32% vs 27%). The cumulative incidence of revision after 9 years was 5.5% (CI 5.3-5.6%) for cemented and 5.8% (CI 5.2-6.4%) for cementless TKAs (p = 0.2). Cementless TKAs were more often revised due to loosening of the tibial (27% vs 18%; p < 0.001) or the femoral component (7% vs 5%; p = 0.005) than cemented TKAs. Cemented TKAs were more often revised due to infection (17% vs 9%; p = 0.004) than cementless TKAs.
conclusionIn conclusion, cemented and cementless TKAs have comparable short- and mid-term revision rates based on a nationwide register study. LEVEL OF EVIDENCE: III.
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